运用辨体辨病辩证及心理治疗对冠心病伴焦虑状态患者的临床疗效探讨  

Discussion on the Clinical Effect of Using Dialectics, Dialectics and Psychotherapy on Patients with Coronary Heart Disease and Anxiety

作　　者：赵刘乐[1] 常宁[2] 刘小彦 ZHAO Liu-le;CHANG Ning;LIU Xiao-yan(Department of traditional Chinese Medicine,the Eighth Hospital of Shijiazhuang City Shijiazhuang,Hebei Province,050081 China;Department of Internal Medicine,the Eigheh Hospital of shijiazhuang City,Shijiazhuang,Hebei Province,05008 China;Department of Psychiatry,the Eigheh Hospital of shijiazhuang City,Shijiazhuang,Hebei Province,05008 China)

机构地区：[1]石家庄市第八医院中医科,河北石家庄050081 [2]石家庄市第八医院内科,河北石家庄050081 [3]石家庄市第八医院精神科,河北石家庄050081

出　　处：《中外医疗》2020年第6期179-181,共3页China & Foreign Medical Treatment

基　　金：河北省中医药管理局课题(2018267)。

摘　　要：目的对冠心病伴焦虑状态在治疗期间应用辨体辨病辩证加心理治疗联合对疗效产生的影响进行观察,评估临床运用辨体辨病辩证加心理治疗在临床中的应用价值。方法方便选取2017年4月-2019年4月期间该院收治的冠心病伴焦虑状态患者60例,采取随机对照分组的方式将研究患者分成治疗组和对照组,每组30例。两组均予以常规治疗,治疗组在此基础上予以辨体辨病辩证加心理治疗,观察两组的疗效。结果治疗组经治疗后SAS评分、SDS评分、住院时长分别为(9.13±3.26)分、(7.21±2.08)分、(12.53±1.14)d,对照组经治疗后SAS评分、SDS评分、住院时长分别为(25.58±3.17)分、(23.87±5.21)分、(20.70±2.05)d,治疗组经过治疗之后其SAS评分、SDS评分比对照组更低,治疗组经过治疗之后其住院时长比对照组更短,差异有统计学意义(t=9.322.P=0.001;t=9.740,P=0.001;t=5.642,P=0.020)。结论冠心病伴焦虑状态患者在治疗过程中施予其辨体辨病辩证加心理治疗联合,可保障其疗效进一步提升,保障其SAS评分、SDS评分进一步降低,进一步保障其住院时长得以缩短可推广。Objective to evaluate the effect of the combination of syndrome differentiation and disease differentiation plus psychotherapy on the treatment of coronary heart disease with anxiety, and to evaluate the clinical application value of syndrome differentiation and disease differentiation plus psychotherapy. Methods 60 patients with coronary heart disease accompanied by anxiety were Convenient selected from April 2017 to April 2019. After retrospective study, the patients were divided into treatment group and control group. the number of cases in each group was equal to 30. One group received routine treatment(control group) and the other group received dialectics of body differentiation and disease differentiation plus psychotherapy(treatment group) besides routine treatment. the therapeutic effects of the two groups were compared. Results treatment group after treatment of the SAS scores and SDS score, hospitalization duration, respectively(9.13 ±3.26)points,(7.21 ±2.08)points,(12.53 ±1.14)d, the control group after treatment of the SAS scores and SDS score,hospitalization duration, respectively(25.58±3.17 points,(23.87±5.21)points,(20.70±2.05)d, the treatment group after treatment of the SAS scores and SDS scores are lower than those of control group, treatment group after treatment the hospitalization duration is shorter than the control group, there were significant differences in comparison and analysis between groups,the difference was statistically significant(t=9.322.P=0.001;t=9.740, P=0.001;t=5.642, P=0.020). Conclusion the combination of body differentiation and disease differentiation plus psychotherapy can ensure the further improvement of curative effect,the further reduction of SAS and SDS scores, and the shortening of hospitalization time for patients with coronary heart disease and anxiety state.

关 键 词：冠心病 辨证 焦虑状态 辨体辨病 心理治疗 

分 类 号：R856.2[医药卫生—航空、航天与航海医学]